HomeMy WebLinkAbout1976-05-20 Permit, Water Hookup #4416Village Permit N? 4 416
Contractor zz ze t�c- t /—'�'-C'/ Address
Owner -L Address �di.-�G.srt=!' •,l int
State License No
Section No.
Other Description:
Village License No- l( < - •'6
GENERAL PERMIT
VILLAGE OF ORONO
%- ystal Bay, Minnesota
Parcel No. ---
Plat No
Lot _ Block Subdivision
Date 5— rJt e 7a _
I hereby agree that, in case a permit is granted, all work which shall be done and 211 materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter:
Sewer Hookup
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup'
Install Water Supply Systems
Install Sewer H(xikup
State Surlax
total An+„unt Paid t„ S'tllasc
Fee S
Fee S
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Signature of applicant
Signature of :Village Oflirtal
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